THE PROBLEM OF DIFFERENTIAL DIAGNOSIS OF VASCULAR PARCINSONISM
https://doi.org/10.18705/2311-4495-2016-3-5-103-112
Abstract
58 patients with neurological disorders were examined using magnetic resonance imaging. Vascular parkinsonism was revealed in 8 patients, possible progressive supranuclear paralysis — in 5 patients, idiopathic Parkinson disease without vascular encephalopathy — in 32 patients, idiopathic Parkinson disease with vascular complications — in 13 patients. Diagnostic algorithm which consists of clinical patient assessment, patient’s reaction on levodopa treatment, visual assessment of non-contrast magnetic resonance images with analyses of «middle encephalon/pons» ratio is suggested, which allows to increase accuracy of vascular parkinconism diagnostics and differentiate it from other extrapiramydal disorders with equal symptoms.
About the Authors
V. A. Fokin
Federal Almazov North-West Medical Research Centre
Russian Federation
Russian Federation
MD, PhD, professor, head of radiology department
A. G. Trufanov
Federal state budgetary military educational institution of higher education «Military Medical Academy named after S.M.Kirov» of the Ministry of defence of the Russian Federation
Russian Federation
Russian Federation
MD, PhD, lecturer, Department of Neurology
Akkuratova str. 2, Saint Petersburg, Russia, 197341
L. V. Litvinenko
Federal state budgetary military educational institution of higher education «Military Medical Academy named after S.M.Kirov» of the Ministry of defence of the Russian Federation
Russian Federation
Russian Federation
MD, PhD, professor, head of the Department of Neurology
M. M. Odinak
Federal state budgetary military educational institution of higher education «Military Medical Academy named after S.M.Kirov» of the Ministry of defence of the Russian Federation
Russian Federation
Russian Federation
associate member of Russian Academy of Sciences AS, MD, PhD, professor, lecturer of the Department of Neurology
L. V. Voronkov
Federal state budgetary military educational institution of higher education «Military Medical Academy named after S.M.Kirov» of the Ministry of defence of the Russian Federation
Russian Federation
Russian Federation
PhD, lecturer, Department of Radiology
A. Yu. Efimtsev
Federal Almazov North-West Medical Research Centre
Russian Federation
Russian Federation
PhD, senior researcher of MRI research laboratory
A. A. Yurin
Federal state budgetary military educational institution of higher education «Military Medical Academy named after S.M.Kirov» of the Ministry of defence of the Russian Federation
Russian Federation
lecturer, Department of Neurology
Russian Federation
lecturer, Department of Neurology
G. E. Trufanov
Federal Almazov North-West Medical Research Centre
Russian Federation
Russian Federation
MD, PhD, professor, head of research department of radiology
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Review
For citations:
Fokin V.A., Trufanov A.G., Litvinenko L.V., Odinak M.M., Voronkov L.V., Efimtsev A.Yu., Yurin A.A., Trufanov G.E. THE PROBLEM OF DIFFERENTIAL DIAGNOSIS OF VASCULAR PARCINSONISM. Translational Medicine. 2016;3(5):103-112. (In Russ.) https://doi.org/10.18705/2311-4495-2016-3-5-103-112
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